# VIDA HOME CARE WISCONSIN INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538052287
- **Authorized official:** DAWN PEREZ MALDONADO (OWNER MEMBER)
- **Authorized official phone:** (414) 208-4404

## Contact information

- **Practice address:** 7313 W SQUIRE AVE, GREENFIELD, WI 53220-4327
- **Practice address phone:** (414) 208-4404
- **Mailing address:** 7313 W SQUIRE AVE, GREENFIELD, WI 53220-4327
- **Mailing address phone:** (414) 208-4404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/02/2025
- **Last updated:** 06/02/2025